These are chat archives for nightscout/ios

18th
Nov 2014
Ben West
@bewest
Nov 18 2014 19:53
@jwedding done, added
jwedding
@jwedding
Nov 18 2014 19:53
Well tehre you go.
jwedding
@jwedding
Nov 18 2014 19:58
This seems WAY high on the list of public wants. If Sammy can bring something in and make it available (along with open sourcing the backside,) then I'd love to see it.
Dana Lewis
@danamlewis
Nov 18 2014 20:04
Thanks @jwedding @bewest.
galileomd
@galileomd
Nov 18 2014 20:05
well that was a shitstorm
John Costik
@hackingtype1
Nov 18 2014 20:06
I can toss a basic app at Apple by the end of the week, see how they respond. it'll be generic as hell, but may be a worthwhile exercise
galileomd
@galileomd
Nov 18 2014 20:07
besides our version?
jwedding
@jwedding
Nov 18 2014 20:07
Shitstorm? Nah! That's open source!
Dana Lewis
@danamlewis
Nov 18 2014 20:07
:)
John Costik
@hackingtype1
Nov 18 2014 20:08
indeed
I'm not reclusive for no reason :-)
jwedding
@jwedding
Nov 18 2014 20:09
Just cause you're a Dialebrity (tm), Costik...
galileomd
@galileomd
Nov 18 2014 20:09
so this is development on the side, i'm a physician by training and want to further diabetes care, so looking for the easiest way to do this.
Ben West
@bewest
Nov 18 2014 20:10
what I've been finding over the last four years is that there are lots of people with cool projects in a similar boat :-)
John Costik
@hackingtype1
Nov 18 2014 20:10
@galileomd yeah, I have a personal app that can be reworked quickly - I'll make it open asap, but damn life is full
galileomd
@galileomd
Nov 18 2014 20:10
and it seems as though there's quite an interest in the client, so trying to figure out the best way to proceed
Dana Lewis
@danamlewis
Nov 18 2014 20:10
I still need to send out that email to the core dev group to give more background on why I keep emphasizing the distinction on commercial (plus loop back in w the MIT profs to give them more background on NS). Will hopefully do in next day or so
Ben West
@bewest
Nov 18 2014 20:11
so it's a very special time right now where everyone is finding each other and creating a forum to work together
John Costik
@hackingtype1
Nov 18 2014 20:11
dialebrity. haha
Ben West
@bewest
Nov 18 2014 20:12
our coalition is basically doing that in a pretty aggressive way... if an app is open source and gets more than 10 users, it's time to think about working together, I figure
if it's got more than 100 users and it's open source, I'd like to help get it through FDA
Jason Calabrese
@jasoncalabrese
Nov 18 2014 20:12
I have to leave now, but wanted to say I'm glad we moved the discussion here and hope we can work together to help the whole community
Ben West
@bewest
Nov 18 2014 20:12
so I took nightscout to FDA to help address concerns with more and more distribution
Dana Lewis
@danamlewis
Nov 18 2014 20:13
@jasoncalabrese +1
Ben West
@bewest
Nov 18 2014 20:13
for now, the easiest way to get trust in an app, IMO is to open source it
John Costik
@hackingtype1
Nov 18 2014 20:14
@bewest - yes indeed
Ben West
@bewest
Nov 18 2014 20:14
FDA looks for a lot of things
but they all seem reasonable to me
it's the exact kind of thing that excellent open source projects do
once it's open source, everyone can review/attack/recommend it
John Costik
@hackingtype1
Nov 18 2014 20:15
on a side note - any want to see an apple watch demo for d-data/innovation summit?
Ben West
@bewest
Nov 18 2014 20:16
having open source is merely a basic part of process though... it doesn't really impact how you choose to distribute/charge for it
ideally lot if not all software would be open source but with premium support to make sure things are working precisely to your needs
but my bias is just dozen years doing business on internet :-)
I know little about medicine except for the stuff I've scoured off FDA site ;-)
alarms/alerts are part of what make this a class iii device
because those things are designed to change behavior in an ongoing and active situation
Christine Deltrap
@YYGIRL
Nov 18 2014 20:19
@hackingtype1 yes!
John Costik
@hackingtype1
Nov 18 2014 20:28
gotta jet, ttyl
galileomd
@galileomd
Nov 18 2014 20:29
so sounds like the killer app is having notifications on ios, but also what can cause FDA regulatory scrutiny...
how does the Pebble do notifications?
Ben West
@bewest
Nov 18 2014 20:29
well just something to be wary of
they didn't actually say that in our meeting
but it's consistent with my intuitions on where things are going
but... I'm working with them... trying to establish an easy process for open source
it's worth doing
everyone wants it
fda did say they wanted to see more
galileomd
@galileomd
Nov 18 2014 20:30
we were just under the impression this would be a "discretionary" review
Ben West
@bewest
Nov 18 2014 20:31
but at same time wanted to carefully review our process to make sure there are no missing gaps
Ben West
@bewest
Nov 18 2014 20:31
yes...
the way we set things up as DIY
galileomd
@galileomd
Nov 18 2014 20:31
Mobile apps that allows a user to collect, log, track and trend data such as blood glucose, blood pressure, heart rate, weight or other data from a device to eventually share with a heath care provider, or upload it to an online (cloud) database, personal or electronic health record. [Added June 11, 2014].
Ben West
@bewest
Nov 18 2014 20:31
makes it so everyone self-assembles at home
yeah, that's called "retrospective"
galileomd
@galileomd
Nov 18 2014 20:31
well, that's the problem with ios and closed gardens tho.. no self assembly required
Ben West
@bewest
Nov 18 2014 20:31
exactly
well, no self-assembly possible
I can do bundled rigs plug and play
looking to work with clinics and careproviders to gather meaningful/publishable data
but I think bundled + self assemble, both as options help ensure safety and innovation both
Ross Naylor
@rnpenguin
Nov 18 2014 20:33
selling app to access NS
hmm
Ben West
@bewest
Nov 18 2014 20:33
not necesarry to sell app access
the network access is a real resource
Ross Naylor
@rnpenguin
Nov 18 2014 20:33
i mean fingerstick
Ben West
@bewest
Nov 18 2014 20:34
for "active patient monitoring"
we pushed back pretty hard for better definition
my intuition is that alarms change behavior, and they will view alarms as active patien monitoring
but that just means there needs to be a process in place that assures safety
open source essentially allows your early participants to help with all that stuff :-)
documenting, coding, testing....
Ross Naylor
@rnpenguin
Nov 18 2014 20:36
open source to use nightscout name
Ben West
@bewest
Nov 18 2014 20:36
we have tools now for collecting lots of data
john's ios app I think is tied fairly specifically to his custom stuff
and sounds like he will rip out a lot of stuff
if you have one that is good for 10 - 100 people, or for more even, if it's open source, it makes it much easier for us to promot
also helps ensure your process is good... tying all releases to specific git commits, etc
galileomd
@galileomd
Nov 18 2014 20:43
yes, again happy to open source. this is more to get into the IT side of "health IT" rather than to make any sort of $. so cleaning up the code but understandably not my day job so there'll be lots of amateur gaffs.
Ben West
@bewest
Nov 18 2014 20:43
you should look at our code
it's not perfect at all
that's the trick, is establishing an ongoing process to constantly improve... it's difficult to hire teams of people to do that
:-)
Ross Naylor
@rnpenguin
Nov 18 2014 20:44
:)
galileomd
@galileomd
Nov 18 2014 20:45
honestly there's lots more interesting stuff to do WITH the data, with all the glucose values tied to demographics, so much analytics that can be done!
Ben West
@bewest
Nov 18 2014 20:45
we are frantically working to clean up our own gaffs, as things scale, more users find more problems
yeah, curious if you had thought about publishing at all
or if you've done anything with the data so far
have you met joycelee?
she's an md in MI, it'd be good to get you introduced
I've got this aggregator that can report on handful/dozens/hundreds of nightscout users
want to modify it to export data useful for measuring ... something, the data is rather simple though, simply a random 6 digit hash, datetime, and cgm/glucose estimate
galileomd
@galileomd
Nov 18 2014 20:53
i have actually met joyce, that's how i got learned about night scout. attended the healthmaker fare she threw at UM and then had a friend's 10yo diagnosed with DM1
Ben West
@bewest
Nov 18 2014 20:53
ah
galileomd
@galileomd
Nov 18 2014 20:53
ooh aggregate data!
Ben West
@bewest
Nov 18 2014 20:53
yeah
here's a demo, let it load for a few mintues http://www.diabetes.watch/
galileomd
@galileomd
Nov 18 2014 20:53
i'd be very happy to dig into it with you, there's lots of opportunities for publishing.
Ben West
@bewest
Nov 18 2014 20:54
here's from halloween http://imgur.com/a/avUf6#5
thing is, most days look like that
galileomd
@galileomd
Nov 18 2014 20:55
yea i bet there's an enourmous glucose spike after trick-or-treat hour
Ben West
@bewest
Nov 18 2014 20:55
but compare it to the www thing right now
you can't tell